Clinical pathway intervention compliance and effectiveness when used in the treatment of patients with severe sepsis and septic shock at an Intensive Care Unit in Spain

Authors

  • Ana Laguna-Pérez Universidad de Alicante
  • Elisa Chilet-Rosell Universidad de Alicante
  • Miguel Delgado Lacosta Universidad de Alicante
  • Carlos Alvarez-Dardet Universidad de Alicante
  • Joaquín Uris Selles Universidad de Alicante
  • Carmen Luz Muñoz-Mendoza Universidad de Alicante

DOI:

https://doi.org/10.1590/S0104-11692012000400002

Keywords:

Effectiveness, Critical Pathways, Sepsis, Critical Care

Abstract

The purpose of this quasi-experimental study was to assess levels of compliance with the intervention bundles contained in a clinical pathway used in the treatment of patients with severe sepsis and septic shock, and to analyze the pathway's impact on survival and duration of hospital stays. We used data on 125 patients in an Intensive Care Unit, divided into a control group (N=84) and an intervention group (N=41). Levels of compliance increased from 13.1% to 29.3% in 5 resuscitation bundle interventions and from 14.3% to 22% in 3 monitoring bundle interventions. In-hospital mortality at 28 days decreased by 11.2% and the duration of hospital stay was reduced by 5 days. Although compliance was low, the intervention enhanced adherence to the instructions given in the clinical pathway and we observed a decline in mortality at 28 days and shorter hospital stays.

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Published

2012-08-01

Issue

Vol. 20 No. 4 (2012)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Clinical pathway intervention compliance and effectiveness when used in the treatment of patients with severe sepsis and septic shock at an Intensive Care Unit in Spain. (2012). Revista Latino-Americana De Enfermagem, 20(4), 635-643. https://doi.org/10.1590/S0104-11692012000400002